Chapter 2, HA

knowledge of his or her own thoughts and feelings about these issues

For a nurse to be therapeutic with clients when dealing with sensitive issues such as terminal illness or sexuality, the nurse should have

maintain eye contact while asking the questions from the form

When interviewing a client for the first time, the nurse is using a standardized nursing history form. The nurse should

Past health history

all childhood diseases; one hospitalization to set a badly broken arm (car accident); two normal vaginal deliveries

Reason for seeking health care

felt lump in right breast while doing BSE

working

During an interview between a nurse and a client, the nurse and the client collaborate to identify problems and goals. This occurs during the phase of the interview termed

using closed-ended questions

During an interview with an adult client, the nurse can keep the interview from going off course by

provide the client with information as questions arise

During the interview of an adult client, the nurse should

review the food pyramid with the client

While interviewing an adult client about her nutrition habits, the nurse should

Developmental level

Middlescent: generativity versus stagnation

History of present concern

No previous problem; occasional breast soreness before menstruation

Biographic Data

Female client; aged 42; married; two children

Family health history

Great aunt had breast cancer; sister has fibrocystic breast disease

assess the client's hearing acuity

The nurse is interviewing a 78-year-old client for the first time. Tte nurse should first

indicate acceptance of the client's cultural differences

The nurse has interviewed a Hispanic client with limited English skills for the first time. The nurse observes that the client is reluctant to reveal personal information and believes in a hot-cold syndrome of disease causation. The nurse should

provide structure and set limits with the client

The nurse is planning to interview a client who has demonstrated manipulative behaviors during past clinic visits. During the interview process, the nurse should plan to

identify risk factors to the client and his or her significant others.

During a client interview, the nurse asks questions about the client's past health history. The primary purpose of asking about past health problems is to

avoids excessive eye contact with the client

During a client interview, the nurse uses nonverbal expressions appropriately when the nurse

rephrasing the client's statement

During an interview with an adult client for the first time, the nurse can clarify the client's statement by

Lifestyle and health practices

Exercises three times a week; drinks lots of caffeine to keep alert and on the go for longy busy days; high stress; good relationship with husband & children

perception of pain

During an interview, the nurse collects both subjective and objective data from an adult client. Subjective data would include the client's

allow the client to ventilate his or her feelings

The nurse is beginning a health history interview with an adult client who expresses anger at the nurse. The best approach for dealing with an angry client is for the nurse to

use very basic lay terminology

The nurse is interviewing a client in the clinic for the first time. The client appears to have a very limited vocabulary. The nurse should plan to

encourage the client to quit smoking

The nurse is interviewing a client in the clinic for the first time. When the client tells the nurse that he smokes "about two packs of cigarettes a day," the nurse should

expressing interest in a neutral manner

The nurse is planning to interview a client who is being treated for depression. When the nurse enters the examination room, the client is sitting on the table with shoulders slumped. The nurse should plan to approach this client by

explain the role and purpose of the nurse

The nurse is preparing to interview an adult client for the first time. The nurse observes that the client appears very anxious. The nurse should

"How do you manage your stress?"

While interviewing an adult client about the client's stress levels and coping responses, an appropriate question by the nurse is